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Konten disediakan oleh Rob Orman, MD, Rob Orman, and MD. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Rob Orman, MD, Rob Orman, and MD atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
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Stimulus - Learn Tools to Crush It in Your Medical Career
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Konten disediakan oleh Rob Orman, MD, Rob Orman, and MD. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Rob Orman, MD, Rob Orman, and MD atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
Do you work in medicine and love patient care but feel like parts of the job don’t measure up? Stimulus equips you with tools, mindset shifts, and strategies they didn’t teach you in training—so you can practice medicine like a boss, flourish in your career, and not let it crush your soul. Emergency physician and executive coach Rob Orman, MD, goes in-depth with thought leaders on how to avoid burnout, improve communication, lead without drama, and stay calm amidst the storm. Don’t just suck it up, think differently.
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211 episode
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Konten disediakan oleh Rob Orman, MD, Rob Orman, and MD. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Rob Orman, MD, Rob Orman, and MD atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
Do you work in medicine and love patient care but feel like parts of the job don’t measure up? Stimulus equips you with tools, mindset shifts, and strategies they didn’t teach you in training—so you can practice medicine like a boss, flourish in your career, and not let it crush your soul. Emergency physician and executive coach Rob Orman, MD, goes in-depth with thought leaders on how to avoid burnout, improve communication, lead without drama, and stay calm amidst the storm. Don’t just suck it up, think differently.
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211 episode
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Do You Know the Difference Between Competence and Capacity? 32:43
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How can a person who’s clearly lucid still be deemed incapable of making their own medical decisions? The answer lies in the misunderstood yet critical distinction between competence and decision-making capacity. While these terms are often used interchangeably in clinical settings, they carry vastly different meanings in law and medicine—differences that can determine whether a patient is treated, restrained, or left alone. In this episode, we explore how doctors can (and should) assess capacity, the legal boundaries of competence, and how not to get destroyed on the witness stand. Finally, we unpack a story involving a dog, a scrotum, and a tour of Colorado’s emergency departments. Guest Bio: Rich Orman began his legal career as a public defender before moving into private practice. He soon joined the district attorney’s office, where he spent most of his career and ultimately rose to the position of deputy district attorney. Over three decades in the courtroom, he tried some of the most complex and high-profile cases in the state. After retiring from law, Rich turned to filmmaking. He is the writer and director of the critically acclaimed Boundary Layer. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We Discuss: What Competence Actually Means in Legal Terms Defining Medical Decision-Making Capacity Real-Life Dilemmas in Emergency Medicine The Right Terminology in Documentation What Physicians Get Wrong in Court How to Testify Like a Pro How to Handle Yes/No Cross-Examinations One Legal Nugget You Should Never Forget Mentioned in this episode: Coming Soon! The Out On Time Course If you are on our mailing list, you will have early access and a few other surprises as well. Sign up for our Newsletter Decision Making Capacity Free Template Need to document decision-making capacity quickly and accurately? I created this free resource so you don’t have to waste time looking up the elements each time. It’s an example of how it can be done—use it as a guide and make it your own. Free Resources Link Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Boundary Rituals: How to Keep Work from Following You Home 43:00
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Ever walk out of a shift and feel like the hospital came home with you? In medicine, the mental residue can cling long after the work day is done. One way to address this is boundary rituals, deliberate actions designed to process the day and allow you to leave work at work, be more present when you get home, and possibly even sleep better. As a bonus, the ability to disengage from work is one of the strongest predictors of reduced burnout. In this episode, Mohamed Hagahmed, MD, shares how he creates this boundary—through small rituals of gratitude, stillness, and reflection. From growing up as a refugee to serving as a sideline physician for the Pittsburgh Steelers, Dr. Hagahmed’s path has been shaped by resilience, culture, and care. He explains how he learned to stop carrying unfixable wounds home, why kindness is clinical armor, and how tiny acts of self-compassion can protect meaning in medicine. Guest Bio: Mohamed Hagahmed, MD a Clinical Assistant Professor of Emergency Medicine at the University of Pittsburgh, Associate Medical Director at the Center for Emergency Medicine, and EMS Medical Director for several systems in Western Pennsylvania. On top of that, he works in high-acuity emergency departments across the region. He’s a graduate of Johns Hopkins Bloomberg School of Public Health, passionate about resuscitation, critical care, and toxicology education. And he’s the creator and host of EMERGE in EM , a podcast focused on emergency medicine education and global health empowerment. We Discuss: Growing up as a refugee and finding purpose in emergency medicine The toll of moral injury and why staying closed and rigid nearly broke him Small rituals that help shed the emotional residue of a shift Using gratitude and stillness as tools for resilience How changing clothes, music, and even snacks can protect emotional health Turning frustration into advocacy for immigrant health and systemic change Advice for new attendings on protecting the threshold between work and home Mentioned in this episode: 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link Distilled Kickassery Every Other Saturday Sign up for our Newsletter…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Crystal-Clear and Error-Free | Three Essential Tools for High-Stakes Communication 14:12
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The best communication in high-stakes environments isn’t complicated. Quite the opposite - it’s structured, clear, and consistent. Small, deliberate shifts in how we transfer information can dramatically improve patient safety, team efficiency, and workplace culture. In this episode, we explore three simple but transformative communication habits that reduce errors and build trust among teams. Finally, we share practical tools you can use today to tighten your communication and improve safety without adding extra workload. We Discuss: The Three-Way Repeat-Back: “That’s Correct” Changes Everything Phonetic Clarifications: Stop the “Norman” Problem Numbers: Say the Digits Whiteboards: The Cheapest Safety Tool in the Room Checklists: Mastering the Basics Cheaper Than Dirt, More Precious Than Gold Mentioned in this episode: Free Tools To Make Medical Practice Easier No fluff. Just good stuff. Free Resources Link UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course We took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you. The UnBurnable Course…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 How to Stop Spiralling When Massively Stressed with Scott Weingart 42:09
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Stressful events can hijack cognition, cloud judgment, and leave emotional residue that can fuel long-term burnout. For acute care clinicians, those moments of emotional overwhelm, when heart rate spikes and the thinking brain goes offline, can have consequences that last far beyond the shift. While long-term resilience is essential, it’s often the just-in-time strategies that determine whether we break down or rise to the moment. In this episode, we explore the physiology and psychology of real-time emotional regulation with Scott Weingart, MD, co-creator of the Beat the Stress Fool protocol. Finally, we uncover how practices like gratitude flooding and negative visualization can inoculate against burnout and offer emotional integrity in the most harrowing moments of care. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Scott Weingart, MD, is an emergency department intensivist and physician coach based in New York. He completed fellowships in Trauma, Surgical Critical Care, and ECMO, and is internationally recognized for his expertise in resuscitation and critical care. As the creator of the EMCrit podcast , with over 40 million downloads, he has shaped how clinicians think and perform under pressure. Together, Scott and I co-founded Guidewire Coaching , where we create and teach tailored courses to address the real-world pain points of acute care medicine. We Discuss: Rapid stress reset with “Beat the Stress Fool” Breathing techniques that calm the nervous system Self-talk under pressure Mental rehearsal that ends in success Trigger words for fast de-escalation Gratitudinal flooding as a shield during emotional overload Real-time tools for grief resilience The quiet strength of negative visualization Teaching stress tools to trainees without pushback Mentioned in this episode: Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 How I Coach Doctors With A Performance Improvement Plan 35:41
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No one enters medicine expecting to land on a performance improvement plan, yet for many physicians, it becomes a disorienting reality. A PIP can feel like both a warning and a test, raising existential fears about career, reputation, and future. Behind the formal language is often a complex mix of organizational risk management and legitimate behavioral concerns. In this episode, we explore what it really means to be placed on a PIP, how to navigate the process effectively, and why resistance is rarely a successful strategy. Finally, we share a structured approach to coaching through a PIP that can turn even the most fraught situation into meaningful professional growth. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We Discuss: Understanding the Purpose and Structure of a Performance Improvement Plan (PIP) Variability and Pitfalls in PIPs Why Coaching Matters During a PIP Common Reactions and Emotional Toll Structural Flaws That Undermine PIPs Negotiating and Responding to a PIP The Myth of Performance Immunity A Coaching Framework for Navigating PIPs Collaborating With Leadership Success and Long-Term Impact Mentioned in this episode: UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 An Insider’s Look at Addiction Medicine 1:09:39
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What if addiction isn’t about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Dr. Casey Grover is a board-certified physician in Addiction Medicine and Emergency Medicine at Montage Health, where he also serves as Chief of Staff. He is the Physician Champion for the Monterey County Prescribe Safe Initiative, a program focused on reducing opioid misuse through education, safe prescribing, and improved treatment access. In addition to his clinical and leadership roles, Dr. Grover hosts the podcast Addiction Medicine Made Easy , where he breaks down complex topics to make addiction care more approachable for both providers and the public. We Discuss: What is Addiction? When Food Becomes a Coping Mechanism The Stigma of Addiction The Neurology of Addiction Divided Views on Sobriety Why Some People Recover and Others Relapse The Reason Some Brains Get Hooked Addiction vs. Dependence — and Why Stigma Makes It Worse Building Trust with Patients From Frustration to Compassion: Reframing Patient Encounters Trauma, PTSD, and Personal Reckoning The Practice of Addiction Medicine Mentioned in this episode: UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Are You Still Lit Up by the Core of Your Work? 20:57
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What is it about your work that still lights you up inside? At the center of every profession is a core - the reason we chose it in the first place, the part that feels meaningful no matter the chaos around it. When we reconnect with that core, even amid challenge, fulfillment often follows. Sometimes, though, that spark fades. Sometimes the core of what we love evolves, shifts direction, or gets buried under layers of stress and routine. In this episode, we explore how to evaluate your relationship with the essence of your work and how small (or big) recalibrations can realign your day-to-day with what matters most. Finally, we share strategies to clear out the noise, fuel the flame, and shape a career that energizes rather than drains. 🧭 UnBurnable | Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a clear pattern: some doctors are thoroughly burned out, and many others are on the path toward it. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. Learn more at unburnablecourse.com 🚀 We Discuss: Starting with the central question: How do you feel about the core of your work? Using the stories you tell about your job as diagnostic tools. What tone are you bringing to those tales? What is a micro recalibration, and how can it reshape your workday from within your current job? How do you recognize when overwhelm is a sign of a broken approach, not a broken you? Exploring macro recalibrations. What if you love the work, but the environment is eating you alive? Running the “look-around test” to evaluate other institutions. Identifying “gravity problems.” Which issues can't be solved within your current system? Considering a mega recalibration. What does it mean to step away from the work entirely? How identity and sunk costs keep us rooted in roles we may have outgrown. Visualizing the flame and smoke of your career. What’s burning bright, and what’s clouding the view? Defining what a fulfilling day looks like. Is that kind of day even possible where you are now? Use a five-year future vision to clarify whether your current job fits into your ideal life. Why walking away doesn’t have to mean burning it down. What might rediscovery look like instead? You don’t have to burn it all down to rediscover what lights you up. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 The White Coat Investor | Avoiding the Money Mistakes That Sink Physicians 1:09:13
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Burnout isn’t just emotional, it’s financial. Many doctors put off financial planning until they’re deep in debt, stuck in lifestyle inflation, and too burned out to pivot. In this episode, The White Coat Investor Jim Dahle lays out how to build a burnout-resistant career by making smart, intentional money decisions, whether you’re a student or a seasoned physician. We delve into frugality (the useful and the absurd), how burnout can quietly become your biggest financial threat, what makes a solid investment plan, the waterfall method of managing your money, and why many doctors end up wealthy on paper but broke in practice. Plus: when hiring a financial advisor is the smartest move you can make—and when it’s the worst. Guest bio: Jim Dahle, MD, FACEP is a practicing emergency physician and the founder of The White Coat Investor. After early experiences with predatory financial advisors, he taught himself personal finance and saw firsthand how financial literacy transformed his life. Motivated to help colleagues avoid similar pitfalls, he launched The White Coat Investor—then the only unbiased financial education resource for physicians. More than a decade later, Dr. Dahle continues to lead the organization as CEO, columnist, and podcast host, staying true to its mission: “help those who wear the white coat get a fair shake on Wall Street.” We Discuss: Financial goals as the “game,” not competition with others Embracing frugality (and where it can go too far) Burnout as a major financial risk Strategies to reduce burnout, including working less and managing spending Understanding your financial “basement” (minimum monthly needs) Lifestyle creep and how to monitor it The “live like a resident” strategy post-training Net worth versus income, and why physicians sometimes retire broke The financial “waterfall” (how to prioritize where your money goes) Why trying to beat the market usually backfires Whole life insurance: the hype versus reality Creating an Investment Policy Statement (IPS) Real estate investing: REITs versus hands-on ownership Designing your life and shifts as a financially independent physician The "night shift marketplace" model When to work with, or fire, a financial advisor Case study: mid-career physician financial planning…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 From Fried to Fired Up | How One Doctor Rebuilt His Career 46:50
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Making a major career shift is never easy, especially when you've dedicated decades to a profession that has become part of your identity. The decision to leave clinical medicine can be fraught with self-doubt, financial considerations, and the lingering question - what comes next? But at some point, the balance shifts, and the cost of staying outweighs the fear of leaving. In this episode, we explore what it takes to walk away from a stable medical career, redefine success, and craft a life that aligns with evolving priorities. Finally, we dig into strategies for managing stress, investing in personal growth, and finding fulfillment beyond the bedside. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Dr. Patrick O’Malley is an emergency physician with nearly two decades of experience in community emergency departments and high-acuity urgent care. Based in Columbia, South Carolina, he has recently expanded into entrepreneurial ventures, including The Laceration Course , in partnership with EB Medicine. He helps moderate the EM Docs Side Hustle Facebook group, a community of over 3,000 emergency physicians exploring side gigs and alternative careers. Dr. O’Malley is dedicated to helping physicians explore new opportunities beyond the walls of the emergency department. We discuss: The Decision to Resign Financial Readiness and the Role of Family Support Looking Back on a Career in Emergency Medicine Redefining Work-Life Balance Transitioning to a New Identity Investing in Yourself Burnout, Coaching, and the Road to Change Finding Joy in Medicine: Small Moments, Big Impact Living Another Yesterday Crafting Your Own Path: Empowering Clinicians Newman and John Marks: Managing Stress and Calm Mentioned in this episode: 🔥 New Free Resource! 🔥 Just dropped: a brand-new video + PDF on how to recalibrate your career based on our sold-out webinar, now re-recorded with the best audience questions and tactical takeaways. You’ll get strategies for micro, macro, and mega career shifts, rules for adding anything to your plate, and real stories of how others made it work. Plus: explore our full collection of free resources for getting unstuck, unburnt, and back in the driver’s seat. Free Resources Link Recalibrate Your Career I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Learn more about 1-on-1 coaching UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 A Guide to Skillful Death Communication with Alex Jabr, PhD 43:48
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Delivering the news of death is one of the hardest yet most overlooked skills in emergency medicine. Many learn by watching others or through trial and error rather than structured training (or just make it up as they go). This lack of preparation can lead to discomfort, stress, avoidance, and even systemic failures in how death notifications are handled. In this episode, we explore the critical components of death communication, how to navigate these difficult conversations with clarity and compassion, and why avoiding or mishandling these moments can have lasting consequences for both providers and families. Finally, we discuss the emotional toll of secondhand grief and the importance of proactive mental health care for those on the front lines of healthcare. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Alexandra Jabr, PhD, EMT-P, is the founder of Emergency Resilience and a leading voice in the overlooked aspects of first responder training. With nearly 15 years of experience as an EMT, paramedic, cardiac tech, EMS coordinator, and educator, she saw firsthand the emotional toll of the job—especially when it came to death communication. She went on to earn a Master’s in Death, Grief, and Bereavement, followed by a Ph.D. in Depth Psychology, focusing on how first responders can maintain their mental health while supporting grieving families and colleagues. Through her work, she’s redefining continuing education, ensuring first responders get the training they truly need—not just another CPR recert. We discuss: Why On-Scene Death Notifications Are So Difficult Challenges in Death Communication Training Practical Steps for Delivering the News of Death A Structured and Compassionate Framework Handling Determination of Death Common Mistakes Secondhand Grief and Provider Well-being Proactive Mental Health for Providers Mentioned in this episode: Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter Awake + Aware | May 5–7, 2025 Bend, Oregon | A 3-day, in-person workshop with world-class faculty to challenge your mindset, recharge your purpose, and connect with people who get it. 18 Hours Category 1 CME Awake + Aware Bend 2025…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Your First Leadership Role? Start With These 8 Principles 24:09
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Leadership impacts everyone—whether you're steering an entire organization or simply navigating team dynamics. It’s an essential skill, yet it often feels elusive, even for experienced professionals. While every leadership challenge is unique, the core principles remain universal. In this episode, we break down eight critical leadership principles drawn from years of experience, hard lessons, conversations with seasoned experts, research, and coaching leaders at all levels. Plus, we share actionable strategies to help you refine your leadership, whether you're guiding thousands or leading a small team. Want more? Subscribe to our free newsletter, Doctoring Done Well . Every other Saturday, straight to your inbox—strategies to work smarter, lead better, and build a career that lasts. We Discuss: Don’t Worry About Leading, Worry About Listening This is Not Your Dumpster Fire Slow Your Roll You Will Have to Be a Judge, Even When You Don’t Want to Be Model the Values With Behavioral Issues, Build the Pathway, Not Just the Expectation You Don’t Know What You’re Doing—And That’s OK People Do Things for Their Reasons, Not Yours Mentioned in this episode: UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course…
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Stimulus - Learn Tools to Crush It in Your Medical Career


Violence has a cadence, a rhythm that disrupts the normal flow of life. When an act of violence erupts, the first sign is often a sudden, unexplainable shift in the environment—an eerie silence, a heightened energy, or a gut feeling that something is wrong. But when does that uneasy feeling cross the threshold into immediate danger? In this episode, we explore the critical decision points in an active violence situation in the healthcare/hospital setting, the moral and ethical dilemmas of medical providers staying versus escaping, and tactical strategies for survival. Finally, we break down the "run, hide, fight" approach and how to act decisively when every second counts. Guest bio: Mike Shertz, MD is an emergency physician who spent 13 years as a Green Beret and a Special Forces medic. He is the founder and purveyor of Crisis Medicine , which teaches tactical casualty care to medical professionals. Check out this video that we did together in 2019 on how to place and remove a tourniquet and this one on how to pack a gunshot wound with combat gauze. Want more? Subscribe to our free newsletter, Doctoring Done Well . Every other Saturday, straight to your inbox—strategies to work smarter, lead better, and build a career that lasts. We Discuss: Recognizing an Active Violence Situation Moral Dilemmas: Stay or Escape? Perspectives on Risk and Response Tactical Survival: Run, Hide, Fight Post-Shooting Medical Response…
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Stimulus - Learn Tools to Crush It in Your Medical Career


Dealing with an angry, upset patient can feel like walking into an emotional storm. The frustration in the room is palpable, and even the most experienced clinicians can feel thrown off balance. While medical training equips us to handle complex diagnoses and emergencies, it often falls short when it comes to managing interpersonal conflict. That’s where the Universal Upset Patient Protocol comes in—a straightforward, highly effective framework designed to de-escalate tense situations, restore trust, and protect your own emotional bandwidth. In this episode, we explore Dr. Dike Drummond’s original protocol, breaking down each step with specific language to use in the heat of the moment. Finally, we’ll add a few practical tweaks to help make these conversations even more natural and effective in real-world practice. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Dike Drummond, MD, is a physician coach, burnout prevention expert, and creator of the Universal Upset Patient Protocol—a step-by-step framework for managing challenging interactions with upset patients. A former family physician, he transitioned to coaching to address the emotional toll of healthcare on providers. As founder of TheHappyMD.com, he’s helped thousands of physicians improve communication, manage stress, and build healthier professional relationships. We Discuss: The Universal Upset Patient Protocol: A Framework for Diffusing Conflict Key Principle: Acknowledgment Over Fixing Step 1: Acknowledge the Vibe and Name the Emotion Step 2: Open the Door for Them to Speak Step 3: Apologize and Show Compassion Step 4: Identify Their Need Step 5: Clarifying Reflection (Rob O Addition) Step 6: Set Boundaries and Expectations Step 7: Express Gratitude Beyond the Protocol: The Magic of Conflict Framework Mentioned in this episode: 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 The Emergency Mindset: What Med School Got Wrong 28:59
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What defines the unique mindset of an emergency clinician? It’s not just the fast pace or the chaotic environment—it’s the deliberate, top-down thinking that prioritizes patient safety over diagnostic certainty. This approach, though deceptively simple, often flies in the face of traditional medical training, which emphasizes comprehensive differentials and exhaustive workups. In emergency medicine, knowing what the patient needs often matters more than knowing exactly what they have. In this episode, we explore the emergency medicine mindset, the pitfalls of the bottom-up approach, and why experienced clinicians focus on acute interventions and dangerous conditions. Finally, we discuss how humility and strategic communication with patients can make all the difference in mitigating risk and building trust. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Reuben Strayer is an emergency physician based in Brooklyn, at Maimonides Medical Center. He tweets @emupdates and blogs at EMupdates.com on a variety of emergency medicine topics. His clinical areas of interest include airway management, analgesia, opioid misuse, procedural sedation, agitation, decision-making, and error. His extra-clinical areas of interest include sweeping generalizations and jalapeño peppers. We Discuss: A Critique of Medical School Training and the Bottom-Up Approach Top-Down Approach and Ophthalmology Insights The 8 Responsibilities of Emergency Physicians The Wheel of Dangerous Conditions Top-Down Thinking in Practice Humility and Communication in Emergency Medicine Mentioned in this episode: 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter…
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Stimulus - Learn Tools to Crush It in Your Medical Career


1 Nonverbal Communication | From facial expressions to tonal authority 33:04
33:04
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Suka
Menyukai33:04
Mastering nonverbal communication can be an elusive task, but the fact remains: what’s unsaid leaves a significant footprint in any interaction. Nowhere is this more palpable than in the medical exam room, where trust and connection between physicians and patients often hinge on subtle, nonverbal cues. So, how can one build trust through facial expressions and tone of voice alone? In this episode, we break down how to silently establish rapport, effective use of pauses, the curious role of your eyebrows, impact of end-of-sentence inflection, how to convey uncertainty with confidence, and why learning a patient’s eye color can pay dividends. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Bradley Block, MD, is a private practice otolaryngologist on Long Island, New York, where he lives with his wife and three young sons. He is a partner at ENT and Allergy Associates and creator of the Physician’s Guide to Doctoring Podcast . He realized that rapport was the key to gaining trust, seeing patients efficiently, enjoying his practice, and building his reputation. He tried to find a podcast that would help him improve at doctor-patient communication, but there was none, so he created Physician’s Guide to Doctoring! The topics quickly expanded to “everything we should have been learning while we were memorizing Kreb’s Cycle.” We Discuss: The "Interest and Authority" Framework for Nonverbal Communication Facial Expressions: Conveying Interest Humor and Likability in Patient Interaction Making Eye Contact and Noticing Eye Color Attitude and Authority in Patient Care Effective Communication Techniques Addressing Patient Concerns and Fears Mentioned in this episode: UnBurnable - Our Cohort-Based Burnout Prevention and Cure Course As physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum. The UnBurnable Course 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter…
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